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4 replies

Sore throat with pouchitis?

P PluotMember
I know pouchitis can cause malaise, fatigue, body aches, all over sick type feeling... I'm wondering if anyone has ever had a sore throat due to pouchitis?

My pouch is acting up this week -- nothing I've never experienced before, but a lot more downs than ups, so to speak. At the same time I've had fatigue, low grade fever (only for one day), and sore throat (only for two days, resolved shortly after the fever).

Could this be pouchitis? I'm thinking it was probably a mild illness unrelated to the pouch since the sore throat and fever have passed, but I'm not sure why I can't get a handle on my pouch... The pouch issues I'm having are:
- typical frequency for me is 5-6 per day and the occasional day with 7 BMs, frequency this week has been 6-8 BMs/day
- typically I only wake once per night for a BM, a few times this week I've been up twice per night
- my BMs aren't especially watery, they're actually thicker than usual if anything
- a lot more urgency and spasming, and one instance when I lost control for a moment during a spasm and had a tiny bit of incontinence (has never happened to me before while awake)

I haven't really eaten anything out of the ordinary. Typically I eat a very varied diet and don't notice a big difference in pouch function based on diet.

Thoughts? I have Levsin and Cortifoam on hand but would have to wait until next week to get in touch with my GI to try anything else.
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Jan DollarJan DollarModerator, RN, retired
I tend to agree that you picked up a virus and it is affecting your whole system. It happens, and more often than you'd like to admit. It seems for me that any sort of anything I have going on tends to disrupt my pouch function. This is after 18 years of observation. So, now I try to just roll with it. Sometimes though, you can start with an upper respiratory infection, then develop real pouchitis, presumably because of the lowered resistance.

If it is pouchitis, it will not improve on its own (unless it was an extremely mild case) and will usually get worse with time without treatment. I would not say that your increase in frequency is particularly significant, and pouchitis would quickly escalate into major frequency and urgency.

You mention that your output is actually thicker than usual, so I wonder if there is possibly a bit of a partial obstruction going on, which would explain the spasms and occasional urgency. If you are sick with a virus, you can be more susceptible to dehydration, and that can add to the obstructive symptoms. This happens to me from time to time too.

Hopefully, it is just a blip, and by the time you can get in touch with your doctor, it will have resolved!

Jan Smiler
P PluotMember
Closing the loop on this... I remembered today that last Sunday I ate about 2 cups of popcorn. I've had popcorn before post-op but not that much in one sitting. Since I didn't get completely blocked I assumed it didn't cause any problems and completely forgot about it. I wonder if it caused a partial blockage that was plaguing me this week. Since I am more or less back to normal now I'm thinking that was probably it, maybe exacerbated by dehydration from a virus. Thanks again Jan!

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